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Observations of Depressed Type Early Gastric Cancer Using Narrow Band Imaging with Magnifying Endoscopy Naomi Kakushima 1 , Hiroyuki Ono 1 , Norifumi Nishide 1 , Kohei Takizawa 1 , Masaki Tanaka 1 , Yuichiro Yamaguchi 1 , Hiroyuki Matsubayashi 1 1Division of Endoscopy, Shizuoka Cancer Center Hospital, Shizuoka, Japan Keyword: 早期胃癌 , 陥凹型胃癌 , 微細表面構造 , 微小血管構造 , NBIME pp.881-891
Published Date 2011/5/25
DOI https://doi.org/10.11477/mf.1403102254
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 The characteristics of microsurface and microvascular patterns of intramucosal EGC(early gastric cancer)observed by NBIME(narrow band imaging with magnifying endoscopy)were extracted. According to the morphology of marginal crypt epithelium, there were seven patterns of microsurface structure. There were six patterns of microvascular patterns according to vessel size, shape and connections. The typical pattern of depressed type EGC was a combination of destructed, disappeared or small microsurface with various caliber microvessels. To distinguish the histological type of EGC, small type microsurface and corkscrew type, frizzled type, fine network type of microvascular pattern were specific patterns, but the number of cases with these features were limited. At present, it is reasonable to use NBIME as a supplementary diagnostic tool to normal endoscopy with chromoendoscopy.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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